DASS-21: free Depression Anxiety Stress Scales template

Written by Coflow | Nov 4, 2026, 3:58:40 AM

Free template

Digital DASS-21 questionnaire

Send the DASS-21 questionnaire digitally to your patients. With Coflow, they answer on their phone or computer before their appointment, with no app and no login.

Each scale is scored the moment they submit. The depression, anxiety and stress scores are waiting for you on the task, and responses write back to your practice management system.

Send it digitally See template

Scores

Depression×2

Anxiety×2

Stress×2

DASS-21

I found it hard to wind down*

Nothing selected

Did not apply to me at all

Applied to me to some degree, or some of the time

Applied to me to a considerable degree, or a good part of time

Applied to me very much, or most of the time

Sent by SMS or email
Completed
Scored
Filed to your PMS

Scores itself No hand tallying

Stored in Australia

No patient app or login

Scored automatically

Writes back to your PMS

dass-21.pdfPage 1 of 2

DASS-21

Depression Anxiety Stress Scales, short form

NameDate

Please read each statement and choose the answer which indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement.

0Did not apply to me at all1Applied to me to some degree, or some of the time2Applied to me to a considerable degree, or a good part of time3Applied to me very much, or most of the time

Over the past week		1	2	3
1	I found it hard to wind down	1	2	3
2	I was aware of dryness of my mouth	1	2	3
3	I couldn't seem to experience any positive feeling at all	1	2	3
4	I experienced breathing difficulty (eg, excessively rapid breathing, breathlessness in the absence of physical exertion)	1	2	3
5	I found it difficult to work up the initiative to do things	1	2	3
6	I tended to over-react to situations	1	2	3
7	I experienced trembling (eg, in the hands)	1	2	3
8	I felt that I was using a lot of nervous energy	1	2	3
9	I was worried about situations in which I might panic and make a fool of myself	1	2	3
10	I felt that I had nothing to look forward to	1	2	3
11	I found myself getting agitated	1	2	3
12	I found it difficult to relax	1	2	3
13	I felt down-hearted and blue	1	2	3
14	I was intolerant of anything that kept me from getting on with what I was doing	1	2	3
15	I felt I was close to panic	1	2	3
16	I was unable to become enthusiastic about anything	1	2	3
17	I felt I wasn't worth much as a person	1	2	3
18	I felt that I was rather touchy	1	2	3
19	I was aware of the action of my heart in the absence of physical exertion (eg, sense of heart rate increase, heart missing a beat)	1	2	3
20	I felt scared without any good reason	1	2	3
21	I felt that life was meaningless	1	2	3

Lovibond, S.H. & Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation of Australia.Page 1 of 2

Scoring the DASS-21

For the practitioner. Detach before handing the questionnaire to a patient.

How to score it

Each answer scores the number circled, from 0 to 3. No item is reverse scored.
Add up the seven items of each scale below. Each scale is scored on its own: there is no combined total.
Multiply each sum by 2. The 21-item form is half the length of the original 42-item DASS, so doubling puts its scores on the same scale as the severity ratings.
Find each score’s severity in the table further down. If any item on a scale is unanswered, don’t score that scale.

Scores

Scale	Items	Score
Depression	3, 5, 10, 13, 16, 17, 21	×2
Anxiety	2, 4, 7, 9, 15, 19, 20	×2
Stress	1, 6, 8, 11, 12, 14, 18	×2

Severity ratings (scores after doubling)

Severity	Depression	Anxiety	Stress
Normal	0–9	0–7	0–14
Mild	10–13	8–9	15–18
Moderate	14–20	10–14	19–25
Severe	21–27	15–19	26–33
Extremely severe	28+	20+	34+

The DASS-21 measures the severity of depression, anxiety and stress symptoms over the past week. It is not a diagnostic tool: read the scores alongside your own clinical assessment.

Lovibond, S.H. & Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation of Australia.Page 2 of 2

9:41

DASS-21

Preview only. Nothing you choose is saved or sent.

DASS-21

I found it hard to wind down*

This field is required.

I was aware of dryness of my mouth*

This field is required.

I couldn't seem to experience any positive feeling at all*

This field is required.

I experienced breathing difficulty (eg, excessively rapid breathing, breathlessness in the absence of physical exertion)*

This field is required.

I found it difficult to work up the initiative to do things*

This field is required.

I tended to over-react to situations*

This field is required.

I experienced trembling (eg, in the hands)*

This field is required.

I felt that I was using a lot of nervous energy*

This field is required.

I was worried about situations in which I might panic and make a fool of myself*

This field is required.

I felt that I had nothing to look forward to*

This field is required.

I found myself getting agitated*

This field is required.

I found it difficult to relax*

This field is required.

I felt down-hearted and blue*

This field is required.

I was intolerant of anything that kept me from getting on with what I was doing*

This field is required.

I felt I was close to panic*

This field is required.

I was unable to become enthusiastic about anything*

This field is required.

I felt I wasn't worth much as a person*

This field is required.

I felt that I was rather touchy*

This field is required.

I was aware of the action of my heart in the absence of physical exertion (eg, sense of heart rate increase, heart missing a beat)*

This field is required.

I felt scared without any good reason*

This field is required.

I felt that life was meaningless*

This field is required.

Form completed

Patients never see a score. When a patient submits it for real, Coflow scores each scale and shows you the score and its severity on the task, using these bands.

ScoresWhat your practice sees

Depression7 items ×2

0+Normal
10+Mild
14+Moderate
21+Severe
28+Extremely severe

Anxiety7 items ×2

0+Normal
8+Mild
10+Moderate
15+Severe
20+Extremely severe

Stress7 items ×2

0+Normal
15+Mild
19+Moderate
26+Severe
34+Extremely severe

Send it digitally

Send the DASS-21 digitally

Patients answer on their phone or computer before they arrive, with no app or login. Coflow sends a reminder if they don’t finish, scores it the moment they submit, and files it into your PMS.

Scored automatically
Automatic reminders
Writes back to your PMS

Book a demo

We’ll show you the DASS-21 in Coflow and set it up with you.

PDF

Start with the free PDF

We’ll email you the printable DASS-21 and its scoring guide, plus a few ideas for moving your questionnaires online when you’re ready.

Download the free PDF

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